Differences in CHC Characteristics According to Region
Characteristic | East (n = 56) | West (n = 47) | Central (n = 46) | P Value |
---|---|---|---|---|
Provision of care | ||||
Population of catchment area, median (IQR) | 60,000 (37,000–100,000) | 60,500 (31,500–100,000) | 30,000 (21,000–72,000) | .03 |
Annual person-time visits, median No. (IQR) | 125,000 (28,150–275,500) | 44,500 (17,300–111,000) | 11,250 (4,750–42,500) | <.01 |
Facilities, % (95% CI) | ||||
Computers for keeping medical records | 81 (71–91) | 90 (82–98) | 86 (77–96) | .47 |
Appointments can be made in advance | 61 (48–74) | 62 (49–76) | 61 (48–75) | .99 |
Open 7 days a week | 77 (66–87) | 82 (72–93) | 64 (51–77) | .07 |
Drug-dispensing facilities | 80 (69–90) | 82 (71–93) | 86 (77–96) | .59 |
Treatment rooms | 90 (82–98) | 92 (85–100) | 92 (84–100) | .76 |
Inpatient beds | 81 (71–91) | 92 (85–100) | 81 (70–92) | .12 |
Designated parking | 81 (72–91) | 75 (63–87) | 74 (61–86) | .55 |
Internet access for staff | 84 (75–94) | 80 (70–91) | 74 (62–86) | .38 |
Staff composition, median (IQR) | ||||
Age of staff, y | 55 (47–60) | 50 (42–54) | 49 (41–55) | .02 |
Physicians registered as general practitioners, No. | 5 (2–12) | 2 (1–7) | 2 (1–3) | <.01 |
Administrators/managers, No. | 3 (1–5) | 2 (1–3) | 1 (1–2) | .01 |
Receptionists, No. | 1 (0–1) | 1 (0–2) | 1 (0–1) | .70 |
Pharmacists, No. | 5 (2–8) | 2 (1–4) | 2 (1–3) | <.01 |
Laboratory technicians, No. | 3 (2–4) | 2 (1–2) | 2 (1–2) | <.01 |
Services available, % (95% CI) | ||||
Chronic disease management | 100 (93–100) | 100 (92–100) | 97 (87–100) | .26 |
Family planning and reproductive services | 79 (68–90) | 76 (64–88) | 78 (66–89) | .92 |
Maternity and infant health | 92 (85–99) | 92 (85–100) | 90 (82–98) | .90 |
Vaccinations | 98 (90–100) | 90 (82–98) | 86 (76–96) | .16 |
Mental health care | 39 (26–51) | 37 (23–50) | 27 (14–40) | .36 |
On-site blood tests | 98 (90–100) | 92 (85–100) | 90 (82–98) | .49 |
On-site radiographs | 72 (60–84) | 78 (67–90) | 70 (57–83) | .59 |
CHC = community health center; IQR = interquartile range.